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Answers 2023
Damp dusting of horizontal surfaces in the OR suite should be performed: a) Before every single procedure set up b) Beginning with the highest surfaces and moving to the lowest c) Using a disposable cloth moistened with isopropyl alcohol d) When the OR suite has been vacant for 24 hrs Correct Answer ✅b) Beginning with the highest surfaces and moving to the lowest Which of the following is associated with increased risk for perioperative hypothermia? a) Female Sex b) Higher than normal body weight c)Hyperthyroidism d)Hypertension Correct Answer ✅a) Female Sex Which of the following describes the administration of sedatives by an anesthesia provider with an additional medications and medical services needed? a) Moderate sedation b) Monitored anesthesia care c) Local anesthesia injection
Answers 2023
d) General anesthesia Correct Answer ✅b) Monitored anesthesia care Which of the following is the CORRECT product for OR cleaning after a procedure? a) Alcohol b) EPA- registered product c) High-level disinfectant d) Liquid Chemical sterilant Correct Answer ✅b) EPA- registered product Which of the following is not correct regarding handling and use of cleaning products? a) Use a spray bottle to dispense solutions b) Label secondary containers when poured from the original container c) Cleaning equipment should not be shared between restricted and semi-restricted areas d) Cleaning with a wet mop reduces the spread of contamination Correct Answer ✅a) Use a spray bottle to dispense solutions Two elements of economic stability within the framework of social determinates of health include: a) Employment and enrollment in higher education b) Housing instability and civic participation
Answers 2023
b) Even distribution of lung ventilation c) Increased cardiac output d) Venous pooling in the lower extremities Correct Answer ✅b) When the head and neck are in the neutral position Considerations for the patient in the prone position include_____ a) Keeping the patient in the prone position for the shortest time possible b)Maintaining 5 degrees to 10 degrees of reverse Trendelenburg to reduce orbital venous congestion and pressure c) Using positioning devices or beds that allow for chest and abdominal expansion d) All of the above Correct Answer ✅d) All of the above Which statement is regarding delegation of nursing activities is FALSE? a) The RN who delegates a task is accountable for that task b) The delegating RN must be familiar with the state board's and the facility's policies on delegation to unlicensed assistive personal c) The RN evaluates the patient outcomes of the delegated task d) The delegating RN provides a basic description of the task, referring questions of the instructions to the charge nurse. Correct Answer ✅d) The delegating RN provides a basic description of the task, referring questions of the instructions to the charge nurse.
Answers 2023
A culture of safety focuses on_____ a) The individual health care provider b) Organizational care delivery c) Patient safety regulatory requirements d) Medical staff goals Correct Answer ✅b) Organizational care delivery Which of the following statements regarding surgical attire is CORRECT? a) Personnel don a head covering before entering the unrestricted area b) Masks are required in semi-restricted surgical zones c) Personnel remove all hand and wrist jewelry before performing hand hygiene d) Beard covers are required surgical attire only in the restricted area Correct Answer ✅c) Personnel remove all hand and wrist jewelry before performing hand hygiene Which is NOT a key component of ERAS? a) Patient and family education b) Multimodal analgesia c) Patient fasting 12 hours prior to surgery d) Return to normal diet on the day of surgery Correct Answer ✅c) Patient fasting 12 hours prior to surgery
Answers 2023
d) Delayed healing may result in weak tissue approximation and herniation Correct Answer ✅d) Delayed healing may result in weak tissue approximation and herniation What action should be taken when transferring to a specimen of the sterile field? a) Wait until the end of the case to transfer the specimen into a container. b) Deposit the specimen into the smallest container that can be closed c) Confirm the type of test that is being requisitioned with the surgeon d) Immerse the specimen into preservative until further instruction Correct Answer ✅c) Confirm the type of test that is being requisitioned with the surgeon A consideration that would NOT be taken into account for instrument set assembly is____? a) Patient population b) Type of surgery c) Tray weight d) Scheduling conflicts Correct Answer ✅d) Scheduling conflicts knowing instrument names helps with a) The count process
Answers 2023
b) Predicting the next steps of the operative procedure c) Increasing the time spent in the OR d) None of the above Correct Answer ✅a) The count process Fall prevention in the OR includes______? a) Using an OR bed that is rated for the pt's weight b) Leaving the pt unattended while gathering supplies outside of the OR c) Placing the safety strap 3" above the pt's knees d) Unlocking the stretcher before patient transfer to the OR bed Correct Answer ✅a) Using an OR bed that is rated for the pt's weight Areas of a sterile gown that should be considered sterile include the: a) The neck below the natural waist b) The chest to the level of the sterile field c) The shoulder to the proximal edge of the cuff d) 2 Inches above the elbow to the distal edge of the cuff Correct Answer ✅b) The chest to the level of the sterile field A principle of covering or uncovering a sterile field includes______ a) Covering multiple sterile fields to allow for quick turnovers b) Covering a portion of a sterile field until needed c) Covering a sterile field with one uncuffed drape
Answers 2023
d) Technology cannot prevent instrument movements during the procedure Correct Answer ✅a) Instruments may have more flexibility than the human wrist Which of the following is NOT a safety practice for energy-generating devices? a) Use of an insulation scanning device b) Use of a conductive trocar systems c) Activation of the foot pedal by the assistant d) Use of the lowest possible power setting Correct Answer ✅c) Activation of the foot pedal by the assistant The preoperative to intraoperative hand-over documentation would NOT include______ a) Diagnostic test results b) The preformed procedure c) Patient mobility issues d) Family contact information Correct Answer ✅b) The preformed procedure The use of verbal orders should be reserved only for clinical necessity. Which of the following should be done regarding a verbal order? a) Verify the surgeon's verbal order with the scrub person
Answers 2023
b) Enter the order just prior to the pt's transport to the PACU c) Ask the physician assistant to sign the order d) Document the order as close as possible to the time the order was communicated Correct Answer ✅d) Document the order as close as possible to the time the order was communicated When a count discrepancy occurs____ a) The surgical assistant attempts to locate missing item on the back table b) A recount of that item is conducted after the missing item is found c) The circulator immediately calls radiology for intraoperative imaging d) The surgeon stops surgery Correct Answer ✅b) A recount of that item is conducted after the missing item is found Of the following which is NOT a type of closed drainage system? a) T-tube b) Negative wound therapy c) Hemovac d) Chest tube Correct Answer ✅a) T-tube Which of the following is NOT a symptom of anaphylaxis? a) Tachycardia
Answers 2023
An important step of the preoperative skin antisepsis is the documentation. Which element is recorded after surgery? a) Pre-existing skin conditions b) Area prepped c) Skin antiseptic used d) Hypersensitivity Correct Answer ✅d) Hypersensitivity What is a consideration for the abdominoperineal preoperative skin antisepsis? a) The bladder is drained before the vaginal prep b) Three or more prep kits are necessary c) Positioning devices should be ready for use prior to positioning d) The three areas that are prepped are the abdomen, vagina, and thighs Correct Answer ✅c) Positioning devices should be ready for use prior to positioning The purpose of the surgical drape is to_______ a) Reduce the risk of hospital- acquired infections b) Cover furniture for use by non-sterile personnel c) Allow the passage of microbes between unsterile and sterile areas d) Provide a two-sided sterile barrier Correct Answer ✅a) Reduce the risk of hospital- acquired infections
Answers 2023
Which statement in draping the sterile field is INCORRECT? a) Scrubbed personnel remove and replace their top gloves after draping b) There is an increased risk for contamination of the sterile team members' gowns and gloves when draping the sterile field c) The unscrubbed team members apply the sterile drapes to create a sterile field Correct Answer ✅c) The unscrubbed team members apply the sterile drapes to create a sterile field Which of the following sterile towels is considered a drape? a) Disposable cloth towel b) Reusable cloth towel c) Skin prep towel d) Impervious Towel Correct Answer ✅d) Impervious Towel Which element of the chain of infection describes a microorganism's route after exiting an infections reservoir? a) Mode of transmission b) Susceptible host c) Portal of entry d) Infectious agent Correct Answer ✅a) Mode of transmission
Answers 2023
Failure to follow instructions for use of a health care product or device_______ a) Adheres to the equipments warranty b) Prevents patient injury c) May result in the hospital's accrediting body issuing citations d) Ensures correct device storage Correct Answer ✅a) Adheres to the equipments warranty Which of the following is NOT a laser safety precaution? a) Appropriate wavelength eyewear is placed at the room's entrance b) The laser is kept in the active mode throughout the procedure c) Windows are covered prior to laser use d) The laser is tested before use Correct Answer ✅b) The laser is kept in the active mode throughout the procedure Why is water temperature an important consideration when cleaning instruments? a) Cool water makes is harder to remove soil from instrument crevices b) Cool water prevents blood coagulation c) Hot water makes blood removal easier d) Hot water is preferred by all cleaning solution manufacturers Correct Answer ✅b) Cool water prevents blood coagulation
Answers 2023
Which statement related to biological indicator testing is TRUE? a) An unprocessed BI vial should produce a positive test result after incubation b) Both BI test vials are placed in the sterilizer together c) A sterilizer quality test is performed at least every 6 months d) Any BI type can be used for an sterilization method Correct Answer ✅a) An unprocessed BI vial should produce a positive test result after incubation Which is an accurate statement regarding shelf-life? a) Shelf-life is event related b) Shelf-life is time related c) Shelf life is not affected by handling d) Shelf-life is not affected by storage temperature Correct Answer ✅a) Shelf-life is event related Choose the option that does NOT accurately depict concepts of immediate use steam sterilization (IUSS) a) An instrument for IUSS should be cleaned in the scrub sink b) A rigid, enclosed container is used for the IUSS cycle c) A biological indicator is run with any implant load
Answers 2023
c) Preoperative verification, surgical site marking, and time out d) Surgical site marking and time out Correct Answer ✅c) Preoperative verification, surgical site marking, and time out What is the BEST way to conduct a time out? a) Perform the time out in the pre-procedure area if all team members are present b) Preform the time out when the patient first enters the room so that he or she may participate c) The time out is preformed with verbal input that is accepted only from the surgeon, assistant, and circulator d) The time out occurs after the patient is prepped and draped and involves the entire team Correct Answer ✅d) The time out occurs after the patient is prepped and draped and involves the entire team An Area of painful skin that is abraded, blistered, or has shallow craters would be classified as which stage of pressure injury? a) Stage I b) Stage II c) Stage III d) Stage IV Correct Answer ✅b) Stage II The basic surgical positions each with their own variations are_____
Answers 2023
a) Kraske, sitting, supine b) Supine, prone, kraske c) Supine, prone, lateral d) Prone, supine, lithotomy Correct Answer ✅c) Supine, prone, lateral
